Open research questions in Cultural Competency in Health Care
200 unresolved questions extracted from the limitations and future-work sections of 2,215 Cultural Competency in Health Care papers in our library. Each links back to the study that raised it.
What the literature leaves open
One challenge is the limited exposure to psychiatry in medical education. Another challenge is the lack of cultural sensitivity in UK psychiatry. The paper also identifies the need for more systematic integration of reflexivity and ethnographic sensibility into routine practice.
The biopsychosocial model has limitations in considering cultural factors. Transcultural psychiatry has limitations in its reach and influence on mainstream practice. There is a gap in cultural sensitivity in UK psychiatry.
One of the challenges identified is the lack of cultural sensitivity and understanding of intersecting identities in healthcare, which can lead to unique barriers to healthcare for Muslim women. Another challenge is the need for more inclusive studies that recognize the diversity of the Muslim population in the USA. The paper also highlights the challenge of addressing perceived discrimination and modesty in healthcare settings.
Include intersecting identities of Muslim women in public health research, - Study the unique barriers to healthcare faced by Muslim women, including gender issues and modesty
Addressing racism in medical education requires a multi-faceted approach. There is no single solution to addressing racism in medical education. Institutional leaders need to recognise that a range of interventions are required to tackle racism.
medical education researchers can critically interrogate whether the recommendations should be refined as geopolitical and sociocultural contexts rapidly shift
Little is known about how specialized professional nursing organizations with a primarily national membership base can build and sustain meaningful international membership.
International Nurse Leaders' Journeys of Engagement, Belonging, and Growth in Professional Nursing Organizations: A Qualitative Study · 2026 · DOILearner outcomes such as improved cultural knowledge and attitudes were predominantly positive, whereas patient outcomes were evaluated less frequently and showed mixed results.
While experiential learning has been shown to enhance medical students' understanding of Social Determinants of Health (SDH), few studies have examined its impact on students' cognitive, emotional, and personal growth.
Medical students’ experiential learning on social determinants of health: a constructivist qualitative study · 2025 · DOIFuture research should explore how to convert these insights into long-term behavioral changes and enhance the integration of reflection and collaborative learning in medical education.
Medical students’ experiential learning on social determinants of health: a constructivist qualitative study · 2025 · DOIHowever, integrating ISL and IPE into a single programme has not been widely explored.
Student experiences and learning outcomes of an interprofessional and international service-learning program: an exploratory study · 2025 · DOIHowever, the relationships between university campus environment, sense of belonging, and sociocultural engagement of HPE students remain unclear.
Influence of the university campus environment on sociocultural engagement and satisfaction of health professions education students: role of the sense of belonging · 2024 · DOIThe Accreditation Council for Graduate Medical Education (ACGME) mandates addressing healthcare disparities and social determinants of health, but implementation remains insufficient due to pervasive barriers.
Understanding faculty perspectives on health equity curriculum implementation in graduate medical education: a qualitative study · 2024 · DOIHowever, the training being developed and their suitability for the European context are not well known.
Future research is needed to contribute to the conceptual development of cultural competence to design programs tailored to European superdiversity.
Future research should explore the impact of transcultural nursing leadership on multicultural work environments and in the delivery of culturally congruent care.
Cultural Competence and Nursing Work Environment: Impact on Culturally Congruent Care in Portuguese Multicultural Healthcare Units · 2024 · DOIThere is a lack of understanding about educators' experiences engaging in Indigenous-specific antiracist education. The study aims to address this gap by exploring the challenges and complexities of this approach.
Being an Indigenous-specific antiracist educator in health professions: a qualitative study of health educators’ learning journeys in Canada · 2026 · DOIA key strength of this study lies in its focus on educa- tors’ lived experiences of Indigenous-specific antiracist education. By centering voices working within systems shaped by racism and colonialism, the study offers insight into both the challenges and possibilities of this work, including its emotional and professional demands and the importance of supportive institutional conditions. The collaborative composition of the research team, which included Indigenous and settler scholars, further strengthens the credibility and depth of the analysis. Several limitations warrant consideration. The posi- tionality of the lead researcher as a white settler may have shaped aspects of interpretation despite ongoing reflex- ive and collaborative processes, underscoring the per- sistence of power dynamics even when efforts are made to foreground Indigenous perspectives. In addition, our decision not to disaggregate Indigenous participants’ experiences—necessary to protect confidentiality within a small community of practice—restricted our ability to examine differences across positionalities. Future stud- ies with larger samples could explore these distinctions more fully and consider their implications for educator support. The study prioritized educators’ learning journeys rather than providing a systematic analysis of pedagogi- cal strategies, curriculum design, or student outcomes. Although participants referenced teaching approaches, further research could more directly investigate peda- gogical practices and their impacts on learners. Similarly, while Indigenous epistemologies informed our frame- work, future scholarship could deepen this grounding by drawing more extensively on Indigenous theoretical traditions and Critical Race Theory. Finally, although participants described institutional barriers, institutions themselves were not the primary object of analysis; sub- sequent research could examine organizational struc- tures, policies, and cultures to better understand both obstacles and conditions that support transformative change.
Being an Indigenous-specific antiracist educator in health professions: a qualitative study of health educators’ learning journeys in Canada · 2026 · DOIThe study identifies a gap between normative standards and the lived experience of users in the public health system. The research highlights a gap between clinical protocols and the patient's subjective experience, especially in culturally diverse populations.
ENTRE LA TÉCNICA Y LA HUMANIDAD: DESAFÍOS DE LA CALIDAD Y CALIDEZ INTERCULTURAL EN LOS SERVICIOS DE GINECO-OBSTETRICIA UNA MIRADA DESDE LA INTERVENCIÓN DEL TRABAJO SOCIAL · 2026 · DOIIntersectional barriers hinder access to educational and qualification opportunities in nursing. Hierarchical structures, Eurocentric curricula, and inadequately adapted digital strategies exacerbate these disparities. The lack of systematic analyses on the impact of intersectionality on nursing education is a significant challenge.
Nursing education in conflict: How intersectionality impacts access to educational opportunities? · 2026 · DOIThere is a lack of systematic analyses on the impact of intersectionality on nursing education. The existing literature highlights the limitations of deficit-oriented approaches in addressing intersectional barriers.
Nursing education in conflict: How intersectionality impacts access to educational opportunities? · 2026 · DOIThe study identifies a gap in cultural competence in the nursing workforce. The diverse workforce faces challenges such as language barriers and experiences of racism, discrimination, bullying, and harassment.
Intra-professional cultural competence: Exploring a strategy to support Australia’s culturally and linguistically diverse nursing workforce · 2026 · DOIEvidence on Vietnamese nursing students’ willingness to work abroad remains limited. There is a need to understand the preferred destinations and perceived barriers to overseas employment among nursing students.
There is a need to explore the potential of music-supported cultural activities in supporting international student adaptation. There is a lack of research on the effectiveness of music-supported cultural activities in improving sociocultural adaptation and wellbeing.
Exploring the effects of music-supported cultural adaptation activities on international students’ sociocultural adaptation and wellbeing: a pilot study · 2026 · DOIManaging diversity in nursing teams is a challenge. The study highlights the need for nursing teams to develop strategies to support diversity management.
Reconstructing a typology of approaches to navigating diversity: a comparative qualitative study of German nursing teams · 2026 · DOI
Most-cited papers in Cultural Competency in Health Care
- Structural competency: Theorizing a new medical engagement with stigma and inequality · Social Science & Medicine · 2014 · 1,582 citations
- An Adaptation of Brislin???s Translation Model for Cross-cultural Research · Nursing Research · 2001 · 685 citations
- Cultural adaptations of behavioral health interventions: A progress report. · Journal of Consulting and Clinical Psychology · 2012 · 670 citations
- Potential barriers to the use of health services among ethnic minorities: a review · Family Practice · 2006 · 585 citations
- Culturally competent healthcare systems · American Journal of Preventive Medicine · 2003 · 572 citations
- Cultural Health Capital · Journal of Health and Social Behavior · 2010 · 525 citations
- Culturally adapted psychotherapy and the legitimacy of myth: A direct-comparison meta-analysis. · Journal of Counseling Psychology · 2011 · 502 citations
- Building an Inclusive Diversity Culture: Principles, Processes and Practice · Journal of Business Ethics · 2004 · 483 citations
- The Case for Cultural Competency in Psychotherapeutic Interventions · Annual Review of Psychology · 2008 · 447 citations
- The Quantitative Measurement of Organizational Culture in Health Care: A Review of the Available Instruments · Health Services Research · 2003 · 416 citations
Most recent work
- Leveraging AI simulations for enhancing cultural responsiveness and interprofessional collaboration in health professions education · Nurse Education in Practice · 2026
- Cultural Competence in Nursing Care for Migrants: An Integrative Review · International Nursing Review · 2026
- Beyond the biopsychosocial: why psychiatry needs anthropology · The British Journal of Psychiatry · 2026
- Belonging Without Controversy: Using Self-Determination Theory to Reframe Inclusion in Medical Education · Teaching and Learning in Medicine · 2026
- Team climate, job satisfaction, cultural competence, and intention to stay among healthcare professionals: a descriptive cross-sectional survey study · BMC Health Services Research · 2026
- Enhancing cultural competence in healthcare: a cultural intelligence approach · Journal of Health Organization and Management · 2026
- Beyond cultural competency: the unseen spectrum of gender microaggressions in Nordic maternity care · Sexual & Reproductive Healthcare · 2026
- Embracing Pluralism: Rethinking Western Psychiatric Models for Equitable Global Mental Health · Culture Medicine and Psychiatry · 2026
- Closing the Distance: Culturally Responsive Mental Health Care for Rural Hispanic/Latino Older Adults · Journal of Psychosocial Nursing and Mental Health Services · 2026
- Between Benefit and Risk: Constructions of Skill and Competency of Internationally Educated Nurses in Sweden · Nordic Journal of Migration Research · 2026
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